SUMMER SOLSTICE GATHERING REGISTRATION
June 22, 2026 | Valley Stream, NY | 12-8:30PM
Thank you for your interest in joining us for the Summer Solstice Gathering.
We're excited to spend a summer day with you.
Please complete the form below. Your registration will be confirmed once payment is received.
Full Name
*
Email Address
*
example@example.com
Mobile Phone Number
*
Format: (000) 000-0000.
How did you hear about this gathering
*
Please Select
Rachel Rappa
Dr. Val Camarano
Friend or Colleague
Facebook
Instagram
Email
Other
What drew you to register for the Summer Solstice Gathering?
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What are you hoping to receive from this experience?
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Have you participated in breathwork before?
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Yes
No
Are you currently experiencing any physical or mental health conditions, or taking any medications, that may be relevant for us to know about when participating in this gathering? (Please include any current medications, recent injuries, cardiovascular concerns, respiratory conditions, mental health diagnoses, or anything else you believe may impact your experience.)
*
Is there anything else you'd like us to know before the gathering? (Examples: dietary restrictions, accessibility needs, allergies, accommodations, injuries, personal considerations, or anything else that would help us create a comfortable and supportive experience.)
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Emergency Contact Name
*
Emergency Contact Phone Number
*
Format: (000) 000-0000.
Investment
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Early Bird Registration- $525 (Available through June 12, 2026)
Regular Registration- $625
Payment Agreement
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I understand that my registration is not complete until payment is received.
I agree to submit payment via Venmo to @Rachel-Rappa within 24 hours of submitting this registration form.
I understand that my space will be held for 24 hours and may be released if payment is not received.
Photography Consent
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I consent to being photographed and understand images may be used for future promotional purposes.
I prefer not to be photographed.
Participation Acknowledgment
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I understand that this gathering includes breathwork, reflective exercises, movement, facilitated connection experiences, and time spent outdoors.
I understand that participation is always optional and I am encouraged to honor my own physical, emotional, and energetic limits.
I understand that this gathering is educational and experiential in nature and is not psychotherapy, mental health treatment, or crisis intervention.
I understand that cats live in the home where the gathering will be held. They will not be present during the event and will be kept separate from participants. However, individuals with significant cat allergies should be aware that the gathering is taking place in a home where cats reside.
I understand that I will be required to sign a waiver to attend the event (waiver sent after registering).
Cancellation Policy
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I understand that all registrations are non-refundable.
Final Confirmation
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I am excited to join the Summer Solstice Gathering on June 22, 2026.
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